Elbow Pain from Bicep Curls

Written by: Nurudeen Tijani (Wellness and Pain Relief Fitness Coach)

Nurudeen performs a bicep curl in a gym
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Quick Answer to Your Questions

Can bicep curls cause elbow pain?
Yes, bicep curls can cause elbow pain—but the exercise itself is rarely the true problem.

Why do my elbow hurt during bicep curls?
In most cases, elbow pain during bicep curls shows up because the muscles and tendons involved are already stiff, overworked, or lacking proper pliability. This makes the elbows less able to tolerate stress during repeated curling movements.

Why pain persists: With bicep curls, elbow pain is rarely just about the elbow itself. It usually comes from how the movement overexerts the arms, how restricted muscles and irritated tendons handle stress during curling, and compensation patterns that develop over time.

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Bicep Curl Mechanics That Can Contribute to Elbow Pain

I’ve been lifting for over 10 years and have personally experienced—and resolved—elbow pain from bicep curls.

The bicep curl mechanics below are important to understand because they can contribute to elbow discomfort. However, they are not the underlying cause of elbow pain from bicep curls.

This page explains the primary cause.


Grip and Hand Position

Type of Grip: Wide vs. Close Grip
A wide grip can place added tension on the outer elbow tendons, aggravating tennis elbow. A close grip shifts more stress to the inner elbow tendons, increasing the risk of golfer’s elbow.

Overly Extended Wrists
Bending the wrists too far backward during curls strains the wrist flexors and places unnecessary pressure on the inner elbow tendons.

Wrist Stability
Poor wrist control during curls destabilizes the movement and transfers excess stress to the elbow tendons.


Curl Variations and Exercise Selection

Standing vs. Seated Curls
Both variations can increase elbow stress depending on posture, load, and overall control.

Incline Curls
The increased range of motion can overstretch the biceps and irritate the lower biceps tendon.

Barbell Curls
The fixed bar path can place significant tension on the biceps and forearm flexors, often contributing to inner elbow discomfort.

Preacher Curls
Pressure from the preacher bench on the back of the upper arm can lead to discomfort around the elbow joint.

Hammer and Reverse Curls
These variations overload the brachioradialis and forearm extensors, which may inflame the outer or front elbow and aggravate issues such as brachioradialis tendon irritation or tennis elbow.


Equipment and Bar Selection

Stationary Machines
While machines offer stability, improper setup can increase elbow strain.

Cable Machines and Resistance Bands
These allow for a more natural movement path and often reduce joint stress.

Barbell vs. Dumbbell
Dumbbells provide a more adaptable range of motion than barbells, reducing the likelihood of tendon irritation.

Straight Bar vs. EZ Bar
EZ bars allow for a more natural wrist and elbow position, reducing strain compared to straight bars.

Thick vs. Thin Bars
Bars that do not match grip size can create instability, forcing the forearm and elbow muscles to overcompensate.


Bar Path, Range of Motion, and Joint Position

Bar Path
An improper bar path forces the elbows and tendons into awkward positions, increasing strain and discomfort.

Range of Motion
Both excessive range of motion (at the bottom of the curl movement) can overstretch and stress the elbow joints and surrounding tendons.

Degree of Elbow Bend
Over-bending the elbow can compress the biceps tendon against the forearm and overstretch the triceps tendon, especially when muscles are restricted or movements are jerky.


Load Management and Compensation Patterns

Weight Load and Joint Compensation
Using excessive weight often causes the wrists or forearms to compensate, increasing stress on the elbow tendons.

Misaligned or Uneven Weights
Uneven loading forces one arm to compensate for the imbalance, raising the risk of elbow discomfort.


Muscle Restrictions and Tendon Stress

Overload of the Wrist Flexors
Excessive loading (using to much weight or going up in weights too quickly) can lead to irritation and discomfort at the inner or outer elbow.

Overstretching of the Triceps
Excessive elbow bending can overstretch tight triceps, causing discomfort at the back of the elbow.

Pain at the Front Crease of the Elbow
Restricted biceps or brachialis muscles can cause discomfort in the front crease of the elbow during repeated bending and extending.


Helpful Tips to Avoid Pain During Bicep Curls

Tip #1:
No bicep curl alternatives can target the biceps as directly without some risk of discomfort. However, you can minimize strain by using dumbbells instead of barbells or machines.

Opt for lighter weights and perform higher repetitions. You can also try partial reps, avoiding the bottom portion of the curl where strain is greatest.

Tip #2:
Stretching between bicep curl sets can help keep the biceps and forearm muscles lengthened. Muscles contract and tighten during exercise, and stretching helps reduce tension on the tendons.

A 15–30 second stretch during rest periods is sufficient to prevent discomfort and improve your workouts.

Recommended stretches include the bicep stretch and the forearm stretch.

However, keep in mind that while stretching may provide temporary relief, it does not address deeper root causes such as restricted muscles, magnesium deficiency, or chronic inflammation.

Tip #3:
Perform elbow SMR (self-myofascial release) exercises the night before your biceps workouts. SMR helps relax tight biceps and forearm muscles, which can alleviate and prevent elbow injuries.

For a complete lifter's guide (with FAQs), read: Elbow Pain from Weightlifting.

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